ASTM F2428-04(2011)
(Guide)Standard Guide for Selection and Use for Pelvic Ring Circumferential Compression Stabilization Devices (PRCCSD) (Withdrawn 2020)
Standard Guide for Selection and Use for Pelvic Ring Circumferential Compression Stabilization Devices (PRCCSD) (Withdrawn 2020)
SIGNIFICANCE AND USE
The intent of this guide is to identify the general performance and good practice standards that a pelvic ring circumferential compression stabilization device (PRCCSD) should possess.
Currently, a number of base platforms such as full-body spinal immobilization devices (long boards) are used to immobilize patients during transport and before definitive treatment. These platforms limit gross movements of the spine and pelvis but do not specifically reduce and stabilize disruptions of the pelvic ring. The PRCCSD applied circumferentially about the patient exerts a compressive force to reduce and stabilize disruptions of the pelvic ring.
The PRCCSD may be used alone but, according to clinical situations, will commonly be used in conjunction with different supporting base platforms during transport and before definitive treatment.
The PRCCSD, when circumferentially applied, should be centered at the level of the greater trochanters and symphsis pubis.
A device intended for use with adult patients shall accommodate the 95th percentile adult American male.
The device should be able to be applied by a single practitioner.
SCOPE
1.1 This guide establishes minimum standards for devices designated here as pelvic ring circumferential compression stabilization devices(s) (PRCCSD), commonly known as pelvic slings, belts, or binders. The PRCCSD is used as the initial pelvic ring stabilization device on patients suspected of having sustained traumatic disruptions of the pelvic ring. It is used during patient transport by emergency personnel and before definitive treatment.
1.2 This guide addresses the recognized need to reduce and stabilize pelvic ring disruptions through the use of circumferential compression devices.
1.3 Peer-reviewed medical literature does describe specific testing methods used to determine the range of effective compression force, efficacy in reduction, stability, and safety for a particular (PRCCSD). This guide, however, does not identify specific testing methods as it is recognized such methods could vary according to device configuration and study design.
1.4 This guide does not address individual quantitative performance standards for any particular device, but does address general performance standards and good practice characteristics for all devices using circumferential compression to reduce and stabilize disruptions of the pelvic ring.
1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and to determine the applicability of regulatory limitations prior to use.
WITHDRAWN RATIONALE
This guide established minimum standards for devices designated as pelvic ring circumferential compression stabilization devices(s) (PRCCSD), commonly known as pelvic slings, belts, or binders.
Formerly under the jurisdiction of Committee F30 on Emergency Medical Services, this guide was withdrawn in January 2020 in accordance with section 10.6.3 of the Regulations Governing ASTM Technical Committees, which requires that standards shall be updated by the end of the eighth year since the last approval date.
General Information
Standards Content (Sample)
NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
Designation: F2428 − 04 (Reapproved 2011)
Standard Guide for
Selection and Use for Pelvic Ring Circumferential
1
Compression Stabilization Devices (PRCCSD)
This standard is issued under the fixed designation F2428; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope 2.1.2 compression force, n—influence that deforms an ob-
ject by making it smaller or shorter.
1.1 This guide establishes minimum standards for devices
designated here as pelvic ring circumferential compression
2.1.3 controlled level of force, n—force confined within
stabilization devices(s) (PRCCSD), commonly known as pel-
certain defined limits.
vic slings, belts, or binders. The PRCCSD is used as the initial
2.1.4 disruption of the pelvic ring, n—any traumatic altera-
pelvic ring stabilization device on patients suspected of having
tionofthenormalanatomicrelationshipsofthebonystructures
sustained traumatic disruptions of the pelvic ring. It is used
forming the pelvic ring. Included in these disruptions are
during patient transport by emergency personnel and before
fractures, dislocations, subluxation, and diastasis.
definitive treatment.
2.1.5 effective level of force, n—that range of quantified
1.2 This guide addresses the recognized need to reduce and
force required by the particular pelvic ring circumferential
stabilize pelvic ring disruptions through the use of circumfer-
compression stabilization device (PRCCSD) to reduce and
ential compression devices.
th
stabilize disruptions of the pelvic ring in the 95 percentile of
1.3 Peer-reviewed medical literature does describe specific
2
adult American males.
testing methods used to determine the range of effective
compression force, efficacy in reduction, stability, and safety 2.1.6 immobilization, n—limitation of motion.
for a particular (PRCCSD). This guide, however, does not
2.1.7 pelvic ring, n—normal anatomic ring-shaped structure
identify specific testing methods as it is recognized such
formedbythreebones:twoinnominatebones(eachmadeupof
methods could vary according to device configuration and
the ilium, ischium, and pubis) and the sacrum.
study design.
2.1.8 reduction, n—returning anatomic structures to their
1.4 This guide does not address individual quantitative
normal anatomic position.
performance standards for any particular device, but does
address general performance standards and good practice
2.1.9 retention system, n—anadjuncttooranintegralpartof
characteristics for all devices using circumferential compres-
the primary platform that allows the patient to be securely
sion to reduce and stabilize disruptions of the pelvic ring.
attached to that platform, used in whatever configuration and
size necessary to accomplish the goal, while still allowing
1.5 This standard does not purport to address all of the
reasonable and necessary access to the patient.
safety concerns, if any, associated with its use. It is the
responsibility of the user of this standard to establish appro-
2.1.10 safe level of circumferential compression force,
priate safety and health practices and to determine the
n—that range of quantified force producing a resultant effect in
applicability of regulatory limitations prior to use.
which no undue alteration of the normal anatomic relationship
of the pelvic ring occurs.
2. Terminology
2.1.11 stabilize, v—maintaining in a firm, constant, or fixed
2.1 Definitions:
state.
2.1.1 circumferential compression force, n—influence that
deforms an object by shortening its circumference. 2.1.12 spinal immobilization system, n—device(s) that im-
mobilize the spine and contiguous structures, the pelvis, and
the skull.
1
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.01 on EMS
Equipment.
2
Current edition approved July 1, 2011. Published September 2011. Original The Handbook of Adult Anthropometric and Strength Measurements Data for
approved in 2004. Last previous edition approved in 2004 as F2428–04. DOI: Design Safety, University of Nottingham, University Park, Nottingham NG7 2RD
10.1520/F2428-04. United Kingdom.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
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F2428 − 04 (2011)
3. Significance and Use 4.10 The design of the PRCCSD should facilitate and not
impede movement of the patient across the surface of support
3.1 The intent of this guide is to identify the general
platforms such as spine boards or stretchers.
performance and good practice standards t
...
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